important notice the depository trust company · 2 days ago · from: international services...

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DTCC offers enhanced access to all important notices via a Web-based subscription service. The notification system leverages RSS Newsfeeds, providing significant benefits including real-time updates and customizable delivery. To learn more and to set up your own DTCC RSS alerts, visit http://www.dtcc.com/subscription_form.php. 1 Important Notice The Depository Trust Company DTCC Public (White) B #: 1358520 Date: July 15, 2020 To: All Participants Category: Dividends From: International Services Attention: Operations, Reorg & Dividend Managers, Partners & Cashiers Subject: Country: INDONESIA TELEKOMUNIKASI INDONESIA CUSIP: 715684106 Record Date: 07/10/20 Payable Date: 08/03/20 Quick Refund: 07/17/20 No CAWeb Instructions Questions regarding this Important Notice may be directed to GlobeTax +1 2127479100. Important Legal Information: The Depository Trust Company (“DTC”) does not represent or warrant the accuracy, adequacy, timeliness, completeness or fitness for any particular purpose of the information contained in this communication, which is based in part on information obtained from third parties and not independently verified by DTC and which is provided as is. The information contained in this communication is not intended to be a substitute for obtaining tax advice from an appropriate professional advisor. In providing this communication, DTC shall not be liable for (1) any loss resulting directly or indirectly from mistakes, errors, omissions, interruptions, delays or defects in such communication, unless caused directly by gross negligence or willful misconduct on the part of DTC, and (2) any special, consequential, exemplary, incidental or punitive damages. To ensure compliance with Internal Revenue Service Circular 230, you are hereby notified that: (a) any discussion of federal tax issues contained or referred to herein is not intended or written to be used, and cannot be used, for the purpose of avoiding penalties that may be imposed under the Internal Revenue Code; and (b) as a matter of policy, DTC does not provide tax, legal or accounting advice and accordingly, you should consult your own tax, legal and accounting advisor before engaging in any transaction.

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  • DTCC offers enhanced access to all important notices via a Web-based subscription service. The notification system leverages RSS Newsfeeds, providing significant benefits including real-time updates and customizable delivery. To learn more and to set up your own DTCC RSS alerts, visit http://www.dtcc.com/subscription_form.php.  

    1

    Important Notice The Depository Trust Company

    DTCC Public (White)

    B #:  13585‐20 Date:  July 15, 2020 

    To:  All Participants Category:  Dividends From:  International Services Attention:  Operations, Reorg & Dividend Managers, Partners & Cashiers 

    Subject: 

    Country: INDONESIATELEKOMUNIKASI INDONESIA  CUSIP: 715684106 Record Date: 07/10/20 Payable Date: 08/03/20 Quick Refund: 07/17/20 

    No CA‐Web Instructions 

    Questions regarding this Important Notice may be directed to GlobeTax +1 212‐747‐9100. 

    Important Legal Information: The Depository Trust Company (“DTC”) does not represent or warrant the accuracy, adequacy, timeliness, completeness or fitness for any particular purpose of the information contained in this communication, which is based in part on information obtained from third parties and not independently verified by DTC and which is provided as is. The information contained in this communication is not intended to be a substitute for obtaining tax advice from an appropriate professional advisor. In providing this communication, DTC shall not be liable for (1) any loss resulting directly or indirectly from mistakes, errors, omissions, interruptions, delays or defects in such communication, unless caused directly by gross negligence or willful misconduct on the part of DTC, and (2) any special, consequential, exemplary, incidental or punitive damages. To ensure compliance with Internal Revenue Service Circular 230, you are hereby notified that: (a) any discussion of federal tax issues contained or referred to herein is not intended or written to be used, and cannot be used, for the purpose of avoiding penalties that may be imposed under the Internal Revenue Code; and (b) as a matter of policy, DTC does not provide tax, legal or accounting advice and accordingly, you should consult your own tax, legal and accounting advisor before engaging in any transaction.

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    Table of Contents

    FEES & DEADLINES ......................................................................................... 2

    ELIGIBILITY MATRIX – QUICK REFUND ..................................................... 3

    DESCRIPTION OF VARIOUS DOCUMENTATION ...................................... 4

    CONTACT DETAILS .......................................................................................... 4

    FREQUENTLY ASKED QUESTIONS (FAQs) .............................................. 5

    GENERAL QUESTIONS ................................................................................... 5

    QUICK REFUND QUESTIONS ........................................................................ 5

    FORMS AND ATTACHMENTS ........................................................................ 7

    DIVIDEND EVENT DETAILS

    COUNTRY OF ISSUANCE

    INDONESIA

    ISSUE TELEKOMUNIKASI INDONESIA

    CUSIP# 715684106

    UNDERLYING ISIN ID1000129000

    DEPOSITARY BNY MELLON

    DR RECORD DATE JULY 10, 2020

    ORD PAY DATE JULY 23, 2020

    DR PAY DATE AUGUST 03, 2020

    RATIO (DR to ORD) 1 : 100

    ORD RATE REGULAR DIVIDEND – IDR 113.0361

    SPECIAL DIVIDEND – IDR 41.0321

    STATUTORY WITHHOLDING RATE

    20%

    DOUBLE CLICK ICON BELOW TO DOWNLOAD

    TELEKOMUNIKASI INDONESIA has announced a cash dividend and BNY Mellon acts as Depositary for the Depositary Receipt (“DR”) program. By submitting, Participants agree to the Agreements, Fees, Representations and Indemnification below. As outlined in the Eligibility Matrix below, all holders will receive this dividend net of the full Indonesian withholding tax rate of 20% with the possibility to reclaim through the Quick Refund process.

    DUE TO LOCAL MARKET DEADLINE CONSTRAINTS, ONLY A QUICK REFUND PROCESS WILL BE OFFERED FOR THIS EVENT.

    DUE TO THE COVID-19 GLOBAL PANDEMIC:

    COLOR SCANS OF DOCUMENTATION WILL BE ACCEPTED FOR THIS EVENT (VIA [email protected])

    DGT FORMS MUST BE SIGNED BY THE BENEFICIAL OWNER, BUT DIGITAL SIGNATURES ARE ACCEPTABLE

    ORIGINAL DOCUMENTATION WILL BE REQUESTED AT A LATER DATE AND SHOULD BE MAINTAINED BY THE DTC PARTICIPANTS

    EFFECTIVE JANUARY 1ST, 2019, THERE IS NOW ONLY ONE DGT FORM FOR ALL NON-RESIDENT ENTITY TYPES.

    https://esp.globetax.com/https://www.adrbnymellon.com/mailto:[email protected]

    BNYMellon ca:CashDividendMember ca:EquityMember ca:MandatoryMember ca:UnitedStatesMember ca:PreliminaryMember 2020-06-30 2020-06-30 BNYMellon ca:CashDividendMember ca:EquityMember ca:MandatoryMember ca:UnitedStatesMember ca:PreliminaryMember 1 1 2020-06-30 2020-06-30 BNYMellon ca:CashDividendMember ca:EquityMember ca:MandatoryMember ca:UnitedStatesMember ca:PreliminaryMember 1 2020-06-30 2020-06-30 BNYMellon ca:CashDividendMember ca:EquityMember ca:MandatoryMember ca:UnitedStatesMember ca:PreliminaryMember ca:CUSIPMember 1 2020-06-30 2020-06-30 BNYMellon ca:CashDividendMember ca:EquityMember ca:MandatoryMember ca:UnitedStatesMember ca:PreliminaryMember ca:ISINMember 1 2020-06-30 2020-06-30 BNYMellon ca:CashDividendMember ca:EquityMember ca:MandatoryMember ca:UnitedStatesMember ca:PreliminaryMember 1 2020-06-30 2020-06-30 BNYMellon ca:CashDividendMember ca:EquityMember ca:MandatoryMember ca:UnitedStatesMember ca:PreliminaryMember 1 2020-06-30 2020-06-30 iso4217:USD iso4217:IDR xbrli:pure xbrli:shares iso4217:IDR iso4217:USD Telekomunikasi Indonesia - Cash Dividend BNYM 2020-06-30 Incomplete 170000053088 BNYM-715684106-1 BNY Mellon is required to include an Approximate Rate in this Notice. It is included solely for the purpose of setting a record date and enabling the exchange to establish an ex-date, and should not be considered more than a placeholder. It is sourced from a third party provider on the day of this Notice. The Approximate Rate is not an indication of, and may be materially different from, the Final Rate. The Final Rate will be included in the Final Notice. ----This notice and the information and data provided herein are provided for general informational purposes only. BNY Mellon does not warrant or guarantee the accuracy, timeliness or completeness of any such information or data. BNY Mellon does not undertake any obligation to update or amend this notice or any information or data, and may change, update or amend this notice or any information or data at any time without prior notice. ----BNY Mellon provides no advice, recommendation or endorsement with respect to any company or securities. No information or data is intended to provide legal, tax, accounting, investment, financial, trading or other advice on any matter, and is not to be used as such. We expressly disclaim any liability whatsoever for any loss howsoever arising from or in reliance upon this notice or any information or data, including market value loss on the sale or purchase of securities or other instruments or obligations. ----Nothing herein shall be deemed to constitute an offer to sell or a solicitation of an offer to buy securities. ----BNY Mellon collects fees from DR holders pursuant to the terms and conditions of the DRs and any deposit agreement under which they are issued. From time to time, BNY Mellon may make payments to an issuer to reimburse and/or share revenue from the fees collected from DR holders, or waive fees and expenses to an issuer for services provided, generally related to costs and expenses arising out of establishment and maintenance of the DR program. BNY Mellon may pay a rebate to brokers in connection with unsponsored DR issuances; brokers may or may not disclose or pass back some or all of such rebate to the DR investor. BNY Mellon may also use brokers, dealers or other service providers that are affiliates and that may earn or share fees and commissions. ----BNY Mellon may execute DR foreign currency transactions itself or through its affiliates, or the Custodian or the underlying Company may execute foreign currency transactions and pay US dollars to BNY Mellon. In those instances where it executes DR foreign currency transactions itself or through its affiliates, BNY Mellon acts as principal counterparty and not as agent, advisor, broker or fiduciary. In such cases, BNY Mellon has no obligation to obtain the most favorable exchange rate, makes no representation that the rate is a favorable rate and will not be liable for any direct or indirect losses associated with the rate. BNY Mellon earns and retains revenue on its executed foreign currency transactions based on, among other things, the difference between the rate it assigns to the transaction and the rate that it pays and receives for purchases and sales of currencies when buying or selling foreign currency for its own account. The methodology used by BNY Mellon to determine DR conversion rates is available to registered Owners upon request or can be accessed at --https://www.adrbnymellon.com/us/en/news-and-publications/dr-issuers/drs_foreign_exchange_pricing_disclosure.pdf.--In those instances where BNY Mellons Custodian executes DR foreign currency transactions, the Custodian has no obligation to obtain the most favorable exchange rate or to ensure that the method by which the rate will be determined will be the most favorable rate, and BNY Mellon makes no representation that the rate is the most favorable rate and will not be liable for any direct or indirect losses associated with the rate. In certain instances, BNY Mellon may receive dividends and other distributions from an issuer of securities underlying DRs in U.S. dollars rather than in a foreign currency. In such cases, BNY Mellon will not engage in or be responsible for any foreign currency transactions and it makes no representation that the rate obtained by an issuer is the most favorable rate and it will not be liable for any direct or indirect losses associated with the rate.----This notice or any excerpt of this notice may not be copied or reproduced without the prior express written consent of BNY Mellon. ----BNY Mellon is a global investments company dedicated to helping its clients manage and service their financial assets throughout the investment lifecycle. BNY Mellon is the corporate brand of The Bank of New York Mellon Corporation (NYSE: BK). ----BNY Mellons name, brand and/or trademarks may not be used, copied or reproduced without the prior express written consent of BNY Mellon. ----DEPOSITARY RECEIPTS ARE NOT INSURED BY THE FDIC OR ANY OTHER GOVERNMENT AGENCY, ARE NOT DEPOSITS OR OTHER OBLIGATIONS OF, AND ARE NOT GUARANTEED BY, BNY MELLON AND ARE SUBJECT TO INVESTMENT RISKS INCLUDING POSSIBLE LOSS OF PRINCIPAL AMOUNT INVESTED. ID TLKM Ingrid Cudjoe true Telekomunikasi Indonesia 715684106 US7156841063 TLK US US 1 100 Cash Dividend true 2020-07-01 2020-07-01 2020-07-10 2020-07-23 2020-08-03 113.0361 14265.0 0.20 0.792401 0.15848 0.00 0.02 0.00 0.613921 Dividend Cash New Mandatory Unconfirmed +212-815-8241 +212-815-3500 [email protected]

    esu

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    FEES & DEADLINES

    FILING METHOD BATCH PAYMENT METHOD

    SHARE MINIMUM

    (DRs) CUSTODIAL FEE

    TAX RELIEF FEE

    MINIMUM FEE PER BENEFICIAL

    OWNER

    FINAL SUBMISSION DEADLINE

    QUICK REFUND APPRX. PAYMENT IN AUGUST 2020

    VIA CHECK OR ACH

    NO MINIMUM NOMINAL FEE

    TBD UP TO $0.0075

    per DR $0

    ESP WINDOW CLOSE

    July 17, 2020 8:00PM EST

    RECEIPT OF COLOR SCANS AT GLOBETAX:

    July 20, 2020 2:00PM EST

    Agreements, Fees, Representations and Indemnification from Participants and Beneficial Owners

    This tax relief assistance service is wholly voluntary and discretionary, and outside the terms and conditions of any applicable deposit agreement. BNY Mellon undertakes no duty or obligation to provide this service, and may reject or decline any or all proposed electing participants or holders in its sole discretion. We hereby accept and agree to pay the fees of BNY Mellon of up to $0.0075 per Depositary Receipt for Relief at Source and Quick Refund, and any other charges, fees or expenses payable by or due to BNY Mellon or its agents, including any custodian, in connection with the tax reclaim process, or to tax authorities or regulators (which fees, charges or expenses may be deducted from the dividend or any other distribution or by billing or otherwise in BNY Mellon’s discretion). We hereby agree that any such fees, charges or expenses may be due and payable whether or not a successful reduction in rate or reclamation is obtained. We hereby acknowledge that fees paid to BNY Mellon may be shared with its agents and affiliates. We hereby agree in addition to statutory and documentation requirements, and the deduction of fees, tax relief benefits will be subject to review and approval, and potential audits by the applicable custodian and applicable tax regulators, and that BNY Mellon is not providing any legal, tax, accounting or other professional advice on these matters and has expressly disclaimed any liability whatsoever for any loss howsoever arising from or in reliance hereto. Participants and/or investors should seek advice based upon their own particular circumstances from an independent tax advisor. We certify to the best of our knowledge that each of the beneficial owners identified are eligible for the preferential rates as stated and we declare that we have performed all the necessary due diligence to satisfy ourselves as to the accuracy of the information submitted to us by these beneficial owners. Furthermore, in the event of an audit we agree to provide any and all documentation required by the respective Tax Authority. We will be fully liable for any and all claims, penalties and / or interest, including without limitation, any foreign exchange fluctuations associated therewith. BNY Mellon shall not be liable for the failure to secure any tax relief. We expressly agree that BNY Mellon and its agents or affiliates shall not have any liability for, and we shall indemnify, defend and hold each of BNY Mellon and its agents and affiliates harmless from and against, any and all loss, liability, damage, judgment, settlement, fine, penalty, demand, claim, cost or expense (including without limitation fees and expenses of defending itself or enforcing this agreement) arising out of or in connection herewith.

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    ELIGIBILITY MATRIX – QUICK REFUND

    RATE DESCRIPTION

    RECLAIM RATE

    ELIGIBLE RESIDENTS DOCUMENTATION

    REQUIRED SIGNATURE REQUIRED

    FAVORABLE - 7%

    13% ALL ENTITIES RESIDENT IN:

    IRAN

    1) APPENDIX A 2) FORM DGT 3) CERTIFICATE OF

    RESIDENCY

    1) YES – DTCC PARTICIPANT

    2) YES – ORIGINAL –BENEFICIAL OWNER

    3) N/A

    FAVORABLE - 10%

    10%

    ALL ENTITIES RESIDENT IN:

    CHINA, CROATIA, HONG KONG, INDIA, JORDAN, KUWAIT, MALAYSIA, MEXICO, MONGOLIA, MOROCCO, NORTH KOREA, PORTUGAL,

    SEYCHELLES, SLOVAKIA, SUDAN, SYRIA, TAIWAN, TURKEY, UNITED ARAB EMIRATES, UZBEKISTAN

    1) APPENDIX A 2) FORM DGT 3) CERTIFICATE OF

    RESIDENCY

    1) YES – DTCC PARTICIPANT

    2) YES – ORIGINAL –BENEFICIAL OWNER

    3) N/A

    PENSIONS NETHERLANDS

    1) APPENDIX A 2) FORM DGT 3) CERTIFICATE OF

    RESIDENCY

    1) YES – DTCC PARTICIPANT

    2) YES – ORIGINAL –BENEFICIAL OWNER

    3) N/A

    FAVORABLE - 12%

    8% ALL ENTITIES RESIDENT IN:

    TUNISIA

    1) APPENDIX A 2) FORM DGT 3) CERTIFICATE OF

    RESIDENCY

    1) YES – DTCC PARTICIPANT

    2) YES – ORIGINAL –BENEFICIAL OWNER

    3) N/A

    FAVORABLE - 15%

    5% ALL ENTITIES RESIDENT IN:

    ALGERIA, ARMENIA, AUSTRALIA, AUSTRIA, BANGLADESH, BELGIUM, BRUNEI, BULGARIA, CANADA, CZECH REPUBLIC, EGYPT, FINLAND,

    FRANCE, GERMANY, HUNGARY, ITALY, JAPAN, LAOS, LUXEMBOURG, NETHERLANDS (EXCEPT PENSIONS),

    NEW ZEALAND, NORWAY, PAKISTAN, PAPUA NEW GUINEA, POLAND, ROMANIA, RUSSIA, SERBIA,

    SINGAPORE,SOUTH AFRICA, SOUTH KOREA, SPAIN, SRI LANKA, SURINAME, SWEDEN, SWITZERLAND, THAILAND, UKRAINE, UNITED KINGDOM, UNITED

    STATES OF AMERICA, VENEZUELA, VIETNAM

    1) APPENDIX A 2) FORM DGT 3) CERTIFICATE OF

    RESIDENCY OR IRS FORM 6166 (TAX YEAR 2020)

    1) YES – DTCC PARTICIPANT

    2) YES – ORIGINAL –BENEFICIAL OWNER

    3) N/A

    UNFAVORABLE - 20%

    0% ALL ENTITIES RESIDENT IN:

    DENMARK, PHILLIPPINES, (NON-TREATY COUNTRIES)

    NO DOCS OR ESP SUBMISSION NEEDED

    N/A

    *NOTE: ALL DOCUMENTS LISTED IN BLUE FONT ARE GENERATED BY GLOBETAX’S ESP WEBSITE AFTER SUBMISSION OF BENEFICIAL OWNER DATA.

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    DESCRIPTION OF VARIOUS DOCUMENTATION

    DOCUMENT NAME

    DESCRIPTION

    APPENDIX A (COVER LETTER)

    Listing of beneficial owners, generated by ESP. An original hardcopy, signed by the DTCC participant, is required for all relief at source and quick refund claims.

    FORM DGT

    The Indonesian Directorate General of Taxation, Certificate of Domicile Form to be completed and signed by a beneficial owner who: -is a resident of a country which has concluded a double taxation convention with Indonesia; AND -claims relief from Indonesia income tax with respect to the following income earned in Indonesia, subject to withholding tax in Indonesia: Dividend, Interest, Royalties, Income from Rendering Services, and Other Income This form: -needs to be certified by the beneficial owner’s local tax office or, in the case of U.S. residents, it must be accompanied by an original IRS Form 6166, tax year 2020 -Must contain original signature and be dated within 12 months of ORD pay date -No white-out or cross-outs are allowed on the form

    IRS FORM 6166 /

    CERTIFICATE OF

    RESIDENCY

    An original 6166, issued by the U.S. Internal Revenue Service, or stamp and signature from the local tax authority, stating the name and tax payer identification number of the beneficial owner is required. It must be issued within 1 year of payment date for the relief-at-source and quick refund process.

    CONTACT DETAILS

    PRIMARY CONTACT ELSON SU

    DOMESTIC PHONE (U.S.) 1-800-915-3536

    DOMESTIC FAX (U.S.) 1-800-985-3536

    INTERNATIONAL PHONE 1-212-747-9100

    INTERNATIONAL FAX 1-212-747-0029

    GROUP EMAIL [email protected]

    COMPANY GLOBETAX SERVICES, INC.

    STREET ADDRESS ONE NEW YORK PLAZA, 34TH FLOOR

    CITY/STATE/ZIP NEW YORK, NY 10004

    ADDITIONAL CONTACTS BONNIE LI

    BNY Mellon offers ESP powered by GlobeTax, an electronic withholding tax submission system. This system allows for the secure and simplified transfer of beneficial owner level data from the Participant to BNY Mellon and creates applicable documentation on the Participants behalf. Submit the data online through the web site below, print out the document on letterhead, sign, and mail to BNY Mellon / GlobeTax. These claims should be submitted through the following web site. (Requires a one-time registration) https://ESP.GlobeTax.com Please contact [email protected] at 212-747-9100 if you have any questions about this process.

    mailto:[email protected]://esp.globetax.com/mailto:[email protected]

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    QUICK REFUND QUESTIONS

    WHAT IS THE QUICK REFUND PROCESS? THE QUICK REFUND PROCESS IS A LIMITED OPPORTUNITY, POST EDS WINDOW, FOR PARTICIPANTS WHO MISSED THE EDS WINDOW TO ELECT OR WISH TO INCREASE THEIR FAVORABLE POSITION.

    DO I NEED TO PHYSICALLY SEND ANY DOCUMENTS TO BNY MELLON IN ORDER TO PARTICIPATE IN THE QUICK REFUND PROCESS?

    YES, YOU MUST SEND GLOBETAX THE REQUIRED DOCUMENTATION (APPENDIX A, FORM DGT, AND IRS FORM 6166 / CERTIFICATION OF RESIDENCY)

    WILL I BE PAID THROUGH DTCC FOR CLAIMS SUBMITTED THROUGH THE QUICK REFUND PROCESS?

    NO, YOU WILL BE PAID BY CHECK OR ACH PAYMENT.

    FREQUENTLY ASKED QUESTIONS (FAQs)

    GENERAL QUESTIONS

    IS THERE A RELIEF AT SOURCE PROCESS FOR THIS EVENT? NO, DUE TO LOCAL MARKET DEADLINE CONSTRAINTS. ONLY QUICK REFUND WILL BE OFFERED FOR THIS EVENT.

    CAN THE CUSTODIAN OR AGENT COMPLETE THE DGT FORM ON BEHALF OF THEIR CLIENT?

    YES, AS LONG AS A POWER OF ATTORNEY IS PROVIDED.

    WHO IS THE ULTIMATE BENEFICIAL OWNER? IT IS THE TRUE RECIPIENT OF THE INCOME AND NOT ANY OF THE FOLLOWING: AN AGENT, A NOMINEE, A SHELL OR PAPER-BASED COMPANY.

    CAN OMNIBUS ACCOUNTS OBTAIN TAX RELIEF AT SOURCE? NO, ALL ACCOUNTS MUST BE DISCLOSED AT THE BENEFICIAL OWNER LEVEL.

    IF THE BENEFICIAL OWNER IS AN EXEMPT INSTITUTION SPECIFIED IN THE DOUBLE TAX TREATY AGREEMENT (DTTA), ARE THERE DOCUMENTATION REQUIREMENTS?

    THE BENEFICIAL OWNER IS TO PROVIDE DOCUMENTATION THAT PROVES IT IS THE EXEMPT ORGANIZATION NOTED IN THE DTTA.

    IN THE DGT FORM, THE BENEFICIAL OWNER IS REQUIRED TO PROVIDE INFORMATION ON THE INDONESIAN WITHHOLDING TAX AGENT. WHERE DO WE FIND SUCH INFORMATION?

    TAX ID: 01.000.013-1.441.005 NAME: PT TELEKOMUNIKASI INDONESIA ADDRESS: JALAN JAPATI NO. 1 BANDUNG, JAWA BARAT 40133 EMAIL ADDRESS: [email protected] TELEPHONE NO.: +62 21 5215109

    HOW FAR BACK CAN THE FORM 6166 BE DATED? THE ISSUE DATE HAS TO BE WITHIN ONE YEAR PRIOR TO THE PAYMENT DATE.

    DOES THE BENEFICIARY’S NAME ON THE FORM 6166 NEED TO MATCH THAT ON THE DGT FORM?

    YES, THE BENEFICIARY’S NAME ON BOTH DOCUMENTS SHOULD BE IDENTICAL.

    WILL BNY MELLON / GLOBETAX ACCEPT CLAIMS FILED DIRECTLY TO THEM BY BENEFICIAL OWNERS?

    GLOBETAX, AS AN AGENT OF BNY MELLON, ONLY ACCEPTS CLAIMS FILED BY A DTCC PARTICIPANT WHO HOLDS SECURITIES THROUGH DTCC AND ONLY TO THE EXTENT THAT DTCC HAS REPORTED THESE HOLDINGS TO US AS VALID, RECORD DATE HOLDINGS. BENEFICIAL OWNERS ARE REQUIRED TO FILE THEIR CLAIMS THROUGH THE CUSTODY CHAIN, TO THE DTCC PARTICIPANT ON RECORD. ALL CLAIMS NOT RECEIVED DIRECTLY FROM THE DTCC PARTICIPANT WILL BE RETURNED TO THE BENEFICIAL OWNER.

    CAN INDONESIAN RESIDENTS BENEFIT FROM THE FAVORABLE RATE? NO, THEY MAY NOT.

    mailto:[email protected]

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    IS THE QUICK REFUND PROCESS FREE OF CHARGE?

    NO. THIS QUICK REFUND TAX ASSISTANCE SERVICE IS WHOLLY VOLUNTARY AND DISCRETIONARY, AND OUTSIDE THE TERMS AND CONDITIONS OF ANY APPLICABLE DEPOSIT AGREEMENT. BNY MELLON UNDERTAKES NO DUTY OR OBLIGATION TO PROVIDE THIS SERVICE, AND MAY REJECT OR DECLINE ANY OR ALL PROPOSED ELECTING PARTICIPANTS OR HOLDERS IN ITS SOLE DISCRETION. FEES WILL BE CHARGED FOR THIS SERVICE OF UP TO $0.0075 PER DEPOSITARY SHARE WITH NO MINIMUM, AND ANY OTHER CHARGES, FEES OR EXPENSES PAYABLE BY OR DUE TO BNY MELLON OR ITS AGENTS, INCLUDING THE CUSTODIAN OR TO TAX AUTHORITIES OR REGULATORS. FEES PAID TO BNY MELLON MAY BE SHARED WITH ITS AGENTS.

    IS THE QUICK REFUND PROCESS FOR TAX RELIEF, OFFERED BY BNY MELLON, A MANDATORY PROCESS?

    NO, THIS IS A DISCRETIONARY, OPTIONAL SERVICE.

    Warning and Disclaimer: BNY Mellon will not be responsible for the truth or accuracy of any submissions received by it and all Participants and holders, whether or not following the procedures set forth herein or otherwise submitting any information, agree to indemnify and hold harmless BNY Mellon and its agents for any and all losses, liabilities and fees (including reasonable fees and expenses of counsel) incurred by any of them in connection herewith or arising here from. BNY Mellon and its agents will be relying upon the truth and accuracy of any and all submissions received by them in connection with the tax relief process and shall hold all participants and DR holders liable and responsible for any losses incurred in connection therewith or arising there from. There is no guarantee that the applicable tax authorities will accept submissions for relief. Neither BNY Mellon nor its agents shall be responsible or liable to any holders of DRs in connection with any matters related to, arising from, or in connection with the tax relief process described herein. See also “Agreements, Fees, Representations and Indemnification from Participants and Beneficial Owners” above. All tax information contained in this Important Notice is based on a good faith compilation of information obtained and received from multiple sources. The information is subject to change. Actual deadlines frequently vary from the statutory deadlines because of local market conditions and advanced deadlines set by local agents. To mitigate risk it is strongly advised that DTC Participants file their claims as soon as possible as the depositary and/or their agents will not be liable for claims filed less than six months before the specified deadline. In the event that local market rules, whether implemented by a local agent or a Tax Authority, conflict with the information provided in the important notice, either prior to or after publication, the local market rules will prevail.

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    FORMS AND ATTACHMENTS *Double click on respective icon to view attachment.

    FORM DGT

    DGT_Form.pdf

  • For the purpose of tax relief, it is hereby confirmed that the taxpayer mentioned in Part I is a resident in(7) for the period (8) (9) to (10) (11)

    the meaning of the Double Taxation Convention in accordance with Double Taxation Convention concluded between Indonesia and (12)

    MINISTRY OF FINANCE OF THE REPUBLIC OF INDONESIA (FORM DGT)DIRECTORATE GENERAL OF TAXES

    Guidance :

    : (1)

    : (2)

    : (3)

    : (4)

    : (5) email : (6)

    within

    (14) ___ / ___ / _____ (15)Place, date (mm/dd/yy)

    Office address : (16)

    1 This company is not an Indonesian resident taxpayer;2 This company is a resident of (17) for income tax purposes within the meaning

    of DTC of both countries;3 the purposes of the transaction is not to obtain the benefit under the convention directly or indirectly that is contrary to the

    object and purpose of the DTC;4 in relation with the earned income, this company is not acting as an agent, nominee or conduit;5 the beneficial owner is not an Indonesia resident taxpayer and/or not a resident taxpayer of the country other than

    mentioned in Part I; and6 I have examined the information stated on this form and to the best knowledge and belief it is true, correct and complete.

    (19) (20)Place, date (mm/dd/yy)

    Contact Number

    , / /

    DGT Page 1

    Part I

    Part III

    Capacity/designation of

    (18)

    DECLARATION BY THE INCOME RECIPIENT (BANKING INSTITUTION AND PENSION FUND)

    Full address

    CERTIFICATE OF DOMICILE OF NON RESIDENTFOR INDONESIA WITHHOLDING TAX

    Tax ID Number

    All particulars in the form are to be properly furnished, and the form shall be signed as completed. This form must be certifiedby the Competent Authority or his authorized representative or authorized tax office in the country where the income recipient is a taxresident before submited to Indonesian withholding agent/custodian.

    This form is available and may be downloaded at this website: http:/www.pajak.go.id

    his authorized representative or authorized tax office

    (13)

    Capacity in which acting

    Name and Signature of the Competent Authority or

    Signature of the income recipient or individualauthorized to sign for the income recipient

    1. This form is to be completed by a person (which includes a body of a person, corporate or non corporate) who is a residentof a country which has been concluded Double Taxation Convention (DTC) with Indonesia

    2. For person who is:- a banking institution, or- a pension fund, orCompletes only DGT Page 1

    3. For Individual, completes PART I and PART II of DGT Page 1, and PART IV and PART VII of DGT Page 24. For non Individual other than mentioned in Number 2, completes PART I and PART II of DGT Page 1, and PART V, PART

    VI, and PART VII of DGT Page 2

    Country

    Part II

    INCOME RECIPIENT

    Name

    CERTIFICATION BY COMPETENT AUTHORITY OR AUTHORIZED TAX OFFICE OF THE COUNTRY OF RESIDENCE

    signatory

    I declared that:

    Official Stamp(if any)

  • 1. Place and Date of Birth (mm/dd/yyyy) : , / / (21)

    2. The purpose of the transactions is to directly or indirectly obtain the benefit under Yes (22)the convention that is contrary to the object and purpose of the DTC

    3. Are you acting as an agent or a nominee? Yes (23)

    4. Do you have permanent home in Indonesia Yes (24)

    5. (25)

    6. Have you ever been resided in Indonesia? Yes (26)to

    Please provide the address :

    7. Yes (27)

    1. Country of registration/incorporation : (28)

    2. (29)

    3. Address of Head Office : (30)4.

    (31)

    5. The entity has relevant economic substance either in the entity's establishment Yes (32)

    6. Yes (33)

    7. Yes (34)

    8. The entity has sufficient assets to conduct business other than the assets Yes (35)

    9. The entity has sufficient and qualified personnel to conduct the business. Yes (36)

    10. Yes (37)

    11. The purpose of the transaction is to directly or indirectly obtain the benefit under Yes (38)

    1. The entity is acting as an agent, nominee or conduit Yes (39)

    2. The entity has controlling rights or disposal rights on the income Yes (40)or the assets or rights that generate the income

    3. No more than 50 per cent of the entity's income is used to satisfy claims by Yes (41)other persons.

    4. The Entity bear the risk on its own asset, capital, or the liability Yes (42)

    5. The entity has contract/s which obliges the entity to transfer the income Yes (43)received to resident of third party

    true, correct, and complete. I further declared that

    Signature of the income recipient or individual

    No

    No

    Part IV TO BE COMPLETED IF THE INCOME RECIPIENT IS AN INDIVIDUAL

    Which country does the place of management or control reside?

    Address of branches, offices, or other place of business in Indonesia (if any) :

    Part V TO BE COMPLETED IF THE INCOME RECIPIENT IS NON INDIVIDUAL

    authorized to sign for the income recipient

    I declare that I have examined the information provided in this form and to the best of my knowledge and belief it is

    , / /

    No

    Noor the execution of its transaction.

    TO BE COMPLETED IF THE INCOME RECIPIENT IS NON INDIVIDUAL AND THE INCOME EARNED IS/ARE DIVIDEND, INTEREST, AND/OR ROYALTY

    No

    Place, date (mm/dd/yy) Capacity in which acting

    DGT Page 2

    No

    the convention that is contrary to the object and purpose of the DTCNo

    Part VI

    This form is available and may be downloaded at this website: http:/www.pajak.go.id

    No

    In what country do your ordinarily reside?

    No

    NoDo you have any office, or other place of business in Indonesia?

    If so, please provide the address :

    If so, in what period? / / / /

    No

    No

    No

    The entity has business activity other than receiving dividend, interest,royalty sourced from Indonesia.

    No

    The entity has its own management to conduct the business andsuch management has an independent discretion.

    No

    generating income from Indonesia.No

    The entity has the same legal form and economic substance either in the entity'sestablishment or the execution of its transaction.

    This company is not an indonesian resident taxpayer and/ornot a resident taxpayer of the country other than mentionedin Part I. (45)

    No

    Part VII DECLARATION BY THE INCOME RECIPIENT

    I am not an Indonesia resident taxpayer, will not be anIndonesian resident taxpayer during the period mentionedin part II. (44)

    (46) (47) (48)

    Mth To:

    Year Fr:

    Year To:

    Country 2:

    Country 3:

    Signatory Name:

    Signatory Title:

    19 MM:

    19 DD:

    19 YYYY:

    19 Place:

    18 Name:

    20 signer Title:

    The purpose of the transactions is to directly or indirectly obtain the benefit under:

    undefined:

    undefined_2:

    21:

    MM1 Fr:

    DD1 Fr:

    Year 1 Fr:

    MM1 To:

    DD1 To:

    Year 1 To:

    Check Box1:

    0:

    0: Off

    1: Off

    1:

    0: Off

    1:

    0:

    0: Off

    1: Off

    1:

    0: Off

    1: Off

    2:

    1: Off

    0: Off

    3141232: Off

    25:

    Do you have any office or other place of business in Indonesia:

    If so please provide the address:

    Which country does the place of management or control reside:

    Head Office Address:

    29:

    The entity has relevant economic substance either in the entitys establishment:

    CB Part V:

    1:

    0: Off

    1: Off

    0:

    0: Off

    1: Off

    2:

    0: Off

    1: Off

    3:

    0: Off

    1: Off

    4:

    0: Off

    1: Off

    5:

    0:

    0:

    0: Off

    1: Off

    1:

    1: Off

    0:

    0:

    0: Off

    1: Off

    1:

    0: Off

    1: Off

    2:

    0: Off

    1: Off

    3:

    0: Off

    1: Off

    4:

    0:

    0: Off

    1: Off

    2: Off

    1: Off

    1: Off

    Capacity in which acting:

    Signature:

    Place Sign:

    MM1 Sign:

    DD1 Sign:

    Year 1 Sign:

    Tax_ID_Number:

    BO_Name:

    BO_Address:

    Contact_Number:

    Country_Where_Registered_as_Taxpayer:

    Email:

    Country 1:

    Mth Fr:

    MM 15:

    DD 15:

    YY 15:

    Office_Address:

    Country 4:

    esu

    13585-20important notice